Hydronephrosis with ureteropelvic junction obstruction
ICD-10 N13.0 is a billable code used to indicate a diagnosis of hydronephrosis with ureteropelvic junction obstruction.
Hydronephrosis with ureteropelvic junction obstruction (UPJ obstruction) is a condition characterized by the dilation of the renal pelvis and calyces due to a blockage at the junction where the ureter meets the renal pelvis. This obstruction can lead to increased pressure within the kidney, resulting in renal damage if not addressed. UPJ obstruction can be congenital or acquired, with causes ranging from anatomical anomalies to external compression from tumors or scarring. Patients may present with flank pain, hematuria, urinary tract infections (UTIs), or renal colic. The condition can lead to secondary complications such as pyelonephritis, which is an infection of the kidney, and interstitial nephritis, an inflammatory condition affecting the kidney's interstitium. Management often involves surgical intervention to relieve the obstruction, along with antibiotic therapy to treat any associated infections. Early diagnosis and treatment are crucial to prevent irreversible kidney damage.
Detailed imaging reports, surgical notes, and history of urinary symptoms.
Patients presenting with flank pain, recurrent UTIs, or renal stones.
Ensure clear documentation of the anatomical findings and any surgical interventions performed.
Comprehensive renal function tests, history of kidney disease, and treatment plans.
Patients with chronic kidney disease exacerbated by hydronephrosis.
Document renal function status and any nephrotoxic medications that may impact treatment.
Used during surgical intervention for UPJ obstruction.
Surgical notes detailing the procedure and indications.
Urology specialists should ensure accurate coding of the procedure performed.
Common symptoms include flank pain, hematuria, urinary tract infections, and renal colic. Patients may also experience nausea and vomiting due to pain.
Diagnosis typically involves imaging studies such as ultrasound or CT scans to visualize the obstruction and assess kidney function.
Treatment may include antibiotics for infections, surgical intervention to relieve the obstruction, and monitoring of kidney function.
